Abdominal Stomas and Their Skin Disorders, Second Edition by Calum Lyon, Amanda Smith

By Calum Lyon, Amanda Smith

This cutting edge guide bridges the space among the colorectal health professional, the stoma nurse and the dermatologist. It addresses the questions of what pathology is concerned, what might be performed by means of nurses, whilst to consult a dermatologist, and what should be performed by means of a dermatologist. Now in its moment version, the ebook has been revised all through and comprises new details on foodstuff and baby stoma sufferers.

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Extra info for Abdominal Stomas and Their Skin Disorders, Second Edition (Series in Dermatological Treatment)

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19. 20. 21. 22. 23. 24. 25. 26. 23 Barr JE, Part 1: Assessment and management of stomal complications – a framework for clinical decision making. Osteomy Wound Management 2004; 50: 50–2. Duchesne JC, Wang YZ, Weintraub SL, Boyle M, Hunt JP. Stoma complications: a multivariate analysis. Am Surg 2002; 68: 961–6. Cheung MT. Complications of an abdominal stoma: an analysis of 322 stomas. Aust N Z J Surg 1995; 65: 808–11. Fligelstone LJ, Wanandeya N, Palmer BV. Osmotic therapy for acute irreducible stoma prolapse.

Where indeterminate colitis is diagnosed, patients should be considered for restorative proctocolectomy as, although complications and failure of pouch surgery are slightly higher than in ulcerative colitis, the long-term outcomes are acceptable (4). Review of the histology by 26 FARRER ET AL. 3 A normal, rosebud-shaped colostomy. 5 A urostomy or ileal conduit. Catheterization of a continent urinary pouch. 6 Patient with an ACE for chronic constipation. 6. The patient is irrigating the colon via the ACE button and the feces will be flushed through the colon and evacuated from the end colostomy into an irrigation sleeve.

In the case of urostomies, this results in an increased risk of cutaneous complications such as encrustation, ulceration, and stenosis. Management The goal of managing a retracted stoma is to maintain a secure seal between the bag and the skin. Early contact with the stoma nurse is needed for modification in pouching technique such as the addition of support and convexity as well as the use of barrier pastes or wedges to fill in 14 (A) JADAV ET AL. 9 (A) Retracted urostomy: the patient’s postoperative weight gain has compounded the problem by further burying the stoma.

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